Individual
BEVERLEY ANNE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 PHILLIPS ST, MIDDLETOWN, NY 10940-4232
(347) 330-6972
Mailing address
57 PHILLIPS ST, MIDDLETOWN, NY 10940-4232
(347) 330-6972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682873
NY
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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